Cantu, Kelly Blake
Cantu, Kelly Blake is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Surgery Dept., Hartford CT 06102-5037. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Cantu, Kelly Blake can be contacted via phone (860) 972-4670.Contact Information
Primary practice address
80 Seymour Street Hartford Hospital Surgery Dept.
Hartford CT 06102-5037
Phone: (860) 972-4670
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002185 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 002185 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002185 | Connecticut |
Profile Details
NPI number | 1174718738 |
---|---|
LBN Legal business name | Cantu, Kelly Blake |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2007 |
Last updated | Jul 1st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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